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<br />CONDITIONS~O~ PERMIT AFFIDAVIT <br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The.undersigned understands that this per.it lay be subject to "deed restrictions' which ~ay be Dore restr1ctive than City <br />regulations. The undersigned nsulles respDnsibiHtf~for,.co.pHance with any applicable deed restrictions. <br />\ . ,!w'- ,- <br /> <br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S <br /> <br />If the o~ner has hired a contractor or contractors to undertake llork, 'they lay be required to be licensed in accordance with <br />state and local regulations. If the contractor is not licensed as required by law, both the Ollner and contractor nay be <br />cited for a lisdeaeanor violation under state laM.: ,If the Ollner or intended contractor are uncertain as to what licensing <br />requirelents lay apply for the intended llork, they are advised to contact the Cily of Zephyrhills Building Depart.enl, tBI31 <br />7BB-6611. ' . . ,. <br /> <br />Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor{sl sign portions of the <br />"Contractor Sections" of this application for llhlch they llill be responsible. If you, as the owner sign as the contractor, <br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign <br />as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the <br />City of Zephyrhills. <br /> <br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES <br /> <br />D. <br /> <br />CONSTRUCTION LIEN LAW <br /> <br />(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED) <br /> <br />I certify that I, the applicant, have been provi'ded llith a copy of "Florida's Construction Lien Lall - HOleollner's Protection <br />Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sote6ne other than the <br />"ollner', I certify that I have [,btained a. copy of the above described dc,culllent anti prc,mi~e in ge,od faith to deliver it to the <br />'ollner" prior to cOllencelent. <br /> <br />.. :\..:.r.....\:: <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the information in this application is accurate and that all work Hill be done in coapliance with all <br />applicable laws regulating construction, zoning, and land developlent. <br /> <br />Application is hereby lade to obtain a perlit t~'do Mork and install~tion as indiCdted. I certify that no work or <br />installation has cOlmenced prior to issuance of a per.it and that all work will be perfor~ed to ~eet standards of all laMS <br />regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also <br />certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is <br />IY responsibility te, identify what actions I lust take to be in cOlllpliance. Such agencies include bill ,;Ie 1'1('\ linited \0: <br /> <br />..... <br /> <br />Tanks <br /> <br />I also certify that, if fill aaterial is to be used in Flc,od Z[,ne "A" Dr "~,etc.', it is underste,e,d tl.,t a drainage plan <br />.dd""ing . ',.'p,n,.ting ,.1",' .i11 b' "b.ltt,d .bi,h I' pr,p."d by . "of,"i,".1 ,ngi.." "",t"., in th, St.t, .1 <br />Florida prior to permit issuance. <br /> <br />A p".it i""d ,h.11 b, ,..,t",d t. b, . l",n" I. p,.",d .,th tb' ..,k .nd ..t ., .,th.,ity t. .i,I.I., ,.n,.1 .11." ., <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l fro~ thereafter <br />",""ng . ",r"li.n .1 ",." in p1.n,; ,.n"",ti.n, ., .i.1.t,.n, .f .n, ,.d.. ,,'" .",il ",." ...\1 b,'o" 'n..lid <br />unless the work authorized by such permit is com~enced Mithin six months of issuance, or if 1I01'k au\hol lied by the perli\ is <br />,"p,nd.d ., .b.nd.n,d f" . p"'" .f ,i. ..nlh' .ft" Ih' tl.. th, .." ",...,""d. ... II d., ..t...i.. .f "", ,'y b. <br />alloMed for the per~it with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An <br />approved inspecti[,n /!lust be l[.gged during each six Mnth period, [Ir the project Iii J I be ce,nsidered ilbal,doned. <br /> <br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY <br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU <br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE <br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". <br /> <br /> <br />SIGNATUR~~~ < SIGNATUREilb<<-ddf~-- ~ <br /> <br />OWNER OR AGENT ~ONTRACTOR ~-- <br /> <br />OATE_____ ~~--,~J~-L~Cjj-- OATE____~c-~J1-1:l~J------------ <br /> <br />NOTARY AS TO .~. ~' , . . <br />OWNER OR AGENT . . <br />---- - ---;'~;y pu~~- te 0 Florld~ ~ <br />MY COMM 1 S3 ION EX P I RES ___~~C~~~i.:.S.!.9.::~x.E~e!.~~e_2.!~~~ <br /> <br />NOTARY AS TO~ <br />CONTRACTOR_ __ ----- -~- -- ----- <br />_, Notary pu Ie. St te of Florida. <br />MY COMM I 55 I ON EX P RES My commission Expires June 21. 1993 <br />, ------------------ <br /> <br />